Individual
LESLIE YVONNE OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BSL
Contact information
Practice address
1316 LOCUST ST, JERSEY SHORE, PA 17740-1922
(570) 295-0486
Mailing address
1316 LOCUST ST, JERSEY SHORE, PA 17740-1922
(570) 295-0486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003525
PA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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